FLOWOOD PRIMARY CARE – NPI #1912600354
Clinic/Center

FLOWOOD PRIMARY CARE is an AHC clinic located in FLOWOOD, MS. NPPES has assigned the NPI number 1912600354 to FLOWOOD PRIMARY CARE on March 24, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FLOWOOD PRIMARY CARE” is a dba name, the actual legal business name for this organization is HATTIESBURG CLINIC, PA. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 3 years ago on May 11, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLOWOOD PRIMARY CARE below.

NPI Profile for
HATTIESBURG CLINIC, PA

NPI Number
1912600354
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HATTIESBURG CLINIC, PA
Doing Business As (dba): FLOWOOD PRIMARY CARE
Primary location
294 E LAYFAIR DR
FLOWOOD, MS 39232-9526
Phone: (601) 579-5463 Fax:
Mailing address
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone: (601) 579-5463 Fax: (601) 579-5240
Organization Subpart
No
Authorized Official
BRYAN BATSON
CEO
Phone: (601) 264-6000
Updated
Certification Date
May 11, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.